CPT-97129

“One-on-one Therapeutic interventions that focus on cognitive function and compensatory strategies to manage the performance of an activity, Initial 15 minutes”

CATEGORY

Physical and Rehabilitation Therapy procedures

CODE TYPE

Timed-based code

ADD-ON CODE

It should be used when any massage technique is performed on the patient in a clinical setting by qualified healthcare professionals. The qualified healthcare professionals include:

  • Physical Therapist
  • Occupational Therapist
  • Chiropractors
  • Physical Therapist Assistant
  • Occupational Therapy Assistant
  • Physician

Sometimes These techniques are considered therapy services when furnished by a Physical Therapist, Occupational or Speech Therapist, and required therapy modifier (GP, GN, GO, CO, CQ). However, these are not therapy services when provided by practitioners that are not therapists e.g. physicians, clinical nurse specialists, nurse practitioners, physician assistants, and psychologists, and do not require therapy modifiers.

CODING GUIDELINES

  • One-on-one therapy code
  • Initial 15 minutes of cognitive therapy

Physical Therapy Modifiers

Below mentioned modifiers are used when services are provided for the respective plan of care:

MODIFIERS

PLAN OF CARE

GP

Outpatient Physical Therapy

GO

Outpatient Occupational Therapy

GN

Outpatient Speech-Language Pathology

CQ

Outpatient Physical Therapy by a Physical Therapist Assistant (completely or partially)

CO

Outpatient Occupational Therapy by an Occupational Therapy Assistant (completely or partially)

TOTAL NO. OF BILLABLE UNITS

Only 1 unit is allowed to bill per DOS, however, additional time spent by the therapist is billed using add-on code 97130 .

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CPT-97129

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